Provider Demographics
NPI:1568633709
Name:MURPHY, GAIL ELLEN
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:ELLEN
Last Name:MURPHY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:ELLEN
Other - Last Name:O'GRADY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LM
Mailing Address - Street 1:20534 80TH LN SW
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-6256
Mailing Address - Country:US
Mailing Address - Phone:206-463-3538
Mailing Address - Fax:
Practice Address - Street 1:18913 VASHON HWY SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-5215
Practice Address - Country:US
Practice Address - Phone:206-463-4778
Practice Address - Fax:206-463-4791
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-16
Last Update Date:2008-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMW00000172176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife